Sensory issues1/9/2024 ![]() ![]() are really experiencing something,” said Catherine Lord, a member of the DSM-5 committee. “I do not doubt that the people that report this. This decision came despite a vigorous campaign to include SPD in the DSM for the first time. The AAP’s action was followed in 2013 by an expert committee’s decision not to include SPD as a diagnosis in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, or DSM-5, published by the American Psychiatric Association. “The pediatrician’s first thought needs to be: What else is going on here? What other disorder could this be a part of? It needs to be thought of more as a symptom rather than a disorder in and of itself.” “We have no evidence that it is a separate disorder,” explained the statement’s co-author, Michelle Zimmer, a pediatrician in Cincinnati. In a 2012 policy statement, the American Academy of Pediatrics advised pediatricians not to use sensory processing disorder as a diagnosis. In the past two years, the cause of increased recognition for SPD has been dealt a few setbacks. The mother of the Silver Spring child (who asked not to be identified to protect his privacy) said that since SPD is not recognized as a disorder by much of the medical establishment, she and her husband must pay out of pocket to send their son to a school that caters to his needs and for occupational therapy, which can cost more than $6,500 a year for weekly, hour-long sessions. Such discussions can affect research funding and can guide whether insurers will reimburse therapy costs. ![]() The debate over how to classify SPD is not merely matter of semantics. Some experts contend that SPD may be merely a symptom of some other ailment - autism, attention-deficit hyperactivity disorder, anxiety disorder or fragile X syndrome, for example - while others insist it is a separate condition that should be labeled a disorder when it interferes with daily life. And yet there’s debate over whether these challenges constitute a discrete medical disorder. Whatever the difficulty, such kids are often described as “out-of-sync,” a term popularized by Carol Stock Kranowitz’s 1998 book “ The Out-of-Sync Child,” which has sold nearly 700,000 copies.Īs many as 16 percent of school-age kids in the United States may face sensory processing challenges. A third group have motor problems that make holding a pencil or riding a bike seem impossible. Others can be underresponsive - seemingly unaffected by the prick of a needle. Some children with SPD seem oversensitive to ordinary stimuli such as a shirt label’s scratching their skin. SPD is a clinical label for people who have abnormal behavioral responses to sensory input such as sound and touch. The child so persistently avoided activities with too much noise and motion that his preschool’s administrators asked to meet with his family - and soon an assessment led to a diagnosis of sensory processing disorder, or SPD. Some days the sound of a vacuum cleaner would make him scream. But for one 2 1 / 2-year-old from Silver Spring, loud noises such as the pop of plastic bubbles were so upsetting that he would cover his ears and run away. Playing with bubble wrap is a silly activity that delights most preschoolers. By Suzanne Allard Levingston May 12, 2014
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